Warren J, et al. - Researchers described the safety and efficacy of permanent synthetic mesh during contaminated ventral hernia repair (VHR). From July 2007 to May 2019, they identified 541 cases of contaminated VHR via retrospectively reviewing their database. These cases comprised 245 clean-contaminated, 214 contaminated and 82 dirty cases. Suture repair was done in 46 patients, the biologic mesh was utilized in 38, absorbable synthetic mesh in 55, and permanent synthetic mesh in 402. Outcomes suggest placing the permanent synthetic mesh in an extraperitoneal position is safe for VHR in a contaminated field. In addition, it results in a significantly lower rate of SSI and recurrence when compared with biologic or bioabsorbable meshes.